Adding the clinical framing, because it changes how the question reads.
DEXA scan update relevant to lean mass:
Scanned at months 0, 6, and 12. Here are the body comp numbers:
| Baseline | Month 6 | Month 12 | |
|---|---|---|---|
| Total mass | 277 lbs | 212 lbs | 214 lbs |
| Fat mass | 117 lbs | 77 lbs | 49 lbs |
| Lean mass | 155 lbs | 148 lbs | 151 lbs |
| Body fat % | 38% | 34% | 23% |
Lean mass preserved — actually GAINED 1-2 lbs thanks to progressive overload + 1.5g/kg protein. The lean mass discussion needs to include body comp data, not just scale weight.
josh_phd_bmore said:Body composition tracking via bioimpedance on lean mass (InBody scan every 3 months): Metric Baseline Month 3 Month 6 Month 9 Skeletal Muscle (lbs) 72…
This is exactly what I could not find anywhere else.
From the other side of the consultation, briefly.
My endo's protocol for lean mass plateau: if weight loss stalls for 6+ weeks at current dose, we go through this checklist before titrating up:
- Food diary review — is intake creeping up?
- Protein check — minimum 100g/day
- Activity audit — steps + resistance training
- Sleep quality — poor sleep kills GLP-1 efficacy
- Stress/cortisol management
Only after addressing all of these do we increase the dose. Often fixing one lifestyle factor restarts progress without needing more medication.
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Browse GL Biochemanders_CPH said:My endo's protocol for lean mass plateau: if weight loss stalls for 6+ weeks at current dose, we go through this checklist before titrating up: Food…
Same pattern here, and in the same order. The detail I would add is minor and it is already implied above.